Urinary Tract Infections: Difference between revisions

Line 1,153:

** The majority of patients with SCI with bacteriuria are asymptomatic. Because of a loss of sensation, patients usually do not experience frequency, urgency, or dysuria. More often, they complain of flank, back, or abdominal discomfort, leakage between catheterizations, increased spasticity, malaise, lethargy, and/or cloudy, malodorous urine.

** '''UTI is the most common cause of fever in the SCI patient'''

* '''~~Managment~~'''

* '''Management'''

** '''CIC has been shown to decrease lower urinarcy tract complications by maintaining low intravesical pressure and reducing the incidence of stones. CIC also appears to reduce complications associated with an indwelling catheter, such as UTI, fever, bacteremia, and local infections such as epididymitis and prostatitis.'''

*** Suprapubic catheters and indwelling urethral catheters eventually have an equivalent infection rate. However, the onset of bacteriuria may be delayed using a suprapubic catheter compared with a urethral catheter (different than NLUTD guidelines which suggest decreased infection rate with suprapubic compared to indwelling)

@@ Line 1,153: / Line 1,153: @@
 ** The majority of patients with SCI with bacteriuria are asymptomatic. Because of a loss of sensation, patients usually do not experience frequency, urgency, or dysuria. More often, they complain of flank, back, or abdominal discomfort, leakage between catheterizations, increased spasticity, malaise, lethargy, and/or cloudy, malodorous urine.
 ** '''UTI is the most common cause of fever in the SCI patient'''
-* '''Managment'''
+* '''Management'''
 ** '''CIC has been shown to decrease lower urinarcy tract complications by maintaining low intravesical pressure and reducing the incidence of stones. CIC also appears to reduce complications associated with an indwelling catheter, such as UTI, fever, bacteremia, and local infections such as epididymitis and prostatitis.'''
 *** Suprapubic catheters and indwelling urethral catheters eventually have an equivalent infection rate. However, the onset of bacteriuria may be delayed using a suprapubic catheter compared with a urethral catheter (different than NLUTD guidelines which suggest decreased infection rate with suprapubic compared to indwelling)